Evidence map›Paper›PMID 38932993›Full record

ArticleMedEdPublish (2016)2024

LGBTQ+ individuals are not explicitly represented in emergency medicine simulation curricula.

Jessica Bod, Samuel Buck, Iris Chandler, Katja Goldflam, Alina Tsyrulnik, Ryan Coughlin, Jessica Fujimoto, Melissa Joseph, David Della-Giustina, Manali Phadke and 1 more

Abstract read
In one paragraph

Article in MedEdPublish (2016), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jessica BodEmergency Medicine, Yale University, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0001-8418-9901
Samuel BuckEmergency Medicine, Yale University, New Haven, Connecticut, USA.
Iris ChandlerEmergency Medicine, Yale University, New Haven, Connecticut, USA.
Katja GoldflamEmergency Medicine, Yale University, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0002-1783-2618
Alina TsyrulnikEmergency Medicine, Yale University, New Haven, Connecticut, USA.
Ryan CoughlinEmergency Medicine, Yale University, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0001-5511-7482
Jessica FujimotoEmergency Medicine, UCSF Fresno, Fresno, CA, USA.
Melissa JosephEmergency Medicine, Yale University, New Haven, Connecticut, USA.
David Della-GiustinaEmergency Medicine, Yale University, New Haven, Connecticut, USA.
Manali PhadkeEmergency Medicine, Yale University, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0003-2268-5963
Dowin BoatrightEmergency Medicine, New York University, New York, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Medical educational societies have emphasized the inclusion of marginalized populations, including the lesbian, gay, bisexual, transgender and queer (LGBTQ+) population, in educational curricula. Lack of inclusion can contribute to health inequality and mistreatment due to unconscious bias. Little didactic time is spent on the care of LGBTQ+ individuals in emergency medicine (EM) curricula. Simulation based medical education can be a helpful pedagogy in teaching cross-cultural care and communication skills. In this study, we sought to determine the representation of the LGBTQ+ population in EM simulation curricula. We also sought to determine if representations of the LGBTQ+ population depicted stigmatized behavior. Methods: We reviewed 971 scenarios from six simulation case banks for LGBTQ+ representation. Frequency distributions were determined for major demographic variables. Chi-Squared or Fisher's Exact Test, depending on the cell counts, were used to determine if relationships existed between LGBTQ+ representation and bank type, author type, and stigmatized behavior. Results: Of the 971 scenarios reviewed, eight (0.82%) scenarios explicitly represented LGBTQ+ patients, 319 (32.85%) represented heterosexual patients, and the remaining 644 (66.32%) did not specify these patient characteristics. All cases representing LGBTQ+ patients were found in institutional case banks. Three of the eight cases depicted stigmatized behavior. Conclusions: LGBTQ+ individuals are not typically explicitly represented in EM simulation curricula. LGBTQ+ individuals should be more explicitly represented to reduce stigma, allow EM trainees to practice using gender affirming language, address health conditions affecting the LGBTQ+ population, and address possible bias when treating LGBTQ+ patients.

Indexed as

Emergency MedicineLGBTQ+Simulation

Identifiers

PMID38932993
PMCPMC11200058

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.